Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY SPARKS, LPC
ActiveSTACEY SPARKS, LPC is a Professional Counselor healthcare provider located in MAROA, Illinois. NPI 1508325176 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MAROA, IL
Registration Details
- NPI Number
- 1508325176
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2019 (7.4584648038204 yrs)
- Last Updated
- Mar 13, 2019
- License
-
178005202 (IL)
Practice Information
- Address
-
410 W LINCOLN STMAROA, IL, 617569220Browse IL providers · Browse ZIP 61756
- Phone
- 2174333002
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.